42D2231198 CLIA NUMBER - WALGREENS #17381

Laboratory Demographics

CLIA Number: 42D2231198

Facility Name: WALGREENS #17381

Facility Address:
11156 ASHEVILLE HIGHWAY
INMAN, SC
ZIP 29349
Get Directions

Facility Phone Number: 864 472-3540

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033635933

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	42D2231198
LAB Type	Pharmacy
Facility Name	WALGREENS #17381
Street	11156 ASHEVILLE HIGHWAY
City	INMAN
State	SC
ZIP	29349
Phone	864 472-3540
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024